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Mr. Ivan Lewis: No improvement notices have been issued yet. The Health Act 2006 gave the Healthcare Commission the power to issue improvement notices if it considers that a national health service organisation is not observing the provisions of the Code of Practice in any material respect. The Act, however, includes various other matters that the commission needs to take into account before this power is exercised. The commission is currently reviewing the arrangements in all 41 trusts whose annual health check and rating published in October 2006 gave rise to concern with respect to health care associated infection. This programme will be completed by the end of March. The commission has assured me that if this work reveals evidence of any material failures to observe the provision of the code the issue of formal improvement notices will be likely to follow.
In addition, trusts are being required to make a specific declaration by 1 May regarding their observance of the code as part of the next annual health check cycle. The Healthcare Commission will follow up these declarations as part of a programme to review the application of the code in trusts where there may be risks of inadequate performance. The issuing of improvement notices is an important power to help secure the safety of patients and the commission will use this new power when it is appropriate.
Mr. Baron: To ask the Secretary of State for Health what decision was reached in each case which she referred to the Independent Reconfiguration Panel; and by what date a decision is expected in each case which has not yet been decided. 
Andy Burnham: The Secretary of State has referred four cases to the Independent Reconfiguration Panel (IRP) for advice. The four cases equate to seven separate referrals from Overview and Scrutiny Committees (OSC). Details of the cases and their outcomes are listed. A further case in East Kent was referred to the IRP in April 2003 although this did not relate to a referral from an OSC.
In relation to the Making it Better and Healthy Futures cases, these are currently with the IRP for consideration. The IRP will advise on the cases by 26 June 2007 and the Secretary of State will make a final decision thereafter.
Referred by: Calderdale and Kirklees Joint OSC
Outcome: IRP advice accepted in full by the Secretary of State with a decision to support the local NHS proposals for in-patient consultant-led maternity care to be centred on the Calderdale Royal hospital site together with an alongside
midwife-led unit. A standalone midwife-led unit would be provided at the Huddersfield Royal infirmary site.
Referred by: Stockton on Tees borough council, Middlesbrough council, Hartlepool borough council
Outcome: IRP advice accepted in full by the Secretary of State. IRP advice was that a modern hospital should replace the existing out-of-date hospital buildings and be provided on a new site in a well situated location accessible to the people of Hartlepool, Stockton on Tees, Easington and Sedgefield. Until the new hospital is open, consultant-led maternity and paediatric services should be centralised at the university hospitals of North Tees and a midwifery-led maternity unit and a paediatric assessment unit should be provided at the University hospital of Hartlepool in addition to elective surgery and emergency medical services, taking into account best practice.
Referred by: Salford OSC, Bury OSC, Rochdale OSC
Outcome: To be confirmed.
Referred by: Rochdale OSC
Outcome: To be confirmed.
Caroline Flint [pursuant to the reply, 11 January 2007, Official Report, c. 697W]: The Department and the Food Standards Agency have not commissioned or supported research on this topic. The composition of infant formula is harmonised at European Union-level (EU), and for fluoride reflects the recommendation of the EU Scientific Committee for Food that, on safety and nutritional grounds, no minimum level, but a maximum level of 100 micrograms of fluoride per 100 kcal, should be set. This advice recognises the potential fluoride intakes of infants from supplements and/or water used to make up the formula.
Mr. Jeremy Browne: To ask the Secretary of State for Health how many individuals involved in road traffic accidents in (a) Taunton and (b) Somerset in each year since 2000 received hospital treatment as a direct result. 
Mr. Ivan Lewis: The number of individuals involved in road traffic accidents in Taunton and Somerset is not available in the requested format. Tables have been placed in the Library, which provide data for hospital admissions where the external cause was road traffic accidents for patients who lived in the Dorset and Somerset strategic health authority area since 2000.
Tim Loughton: To ask the Secretary of State for Health (1) how many mental health patients who committed suicide in the last 10 years were first treated by the NHS on an adult mental health ward when they were under the age of 18 years; 
(3) how many times in the last 10 years an inquiry has been carried out into a suicide by a mental health patient where the patient was first treated on an adult mental health ward when they were under the age of 18; 
(4) how many times in the last 10 years an inquiry has been carried out into a homicide by a mental health patient where the patient was first treated on an adult mental health ward when they were under the age of 18. 
Mr. Burns: To ask the Secretary of State for Health how many NHS hospital beds there are in the Mid-Essex Hospital Trust area; and how many there were in (a) January 1997, (b) January 2001 and (c) May 2005. 
|Total number of beds|
Department of Health form KH03
Mr. Baron: To ask the Secretary of State for Health what proportion of the work force of the NHS in England, expressed in terms of (a) headcount and (b) whole-time equivalent, was represented by midwives in each year since 1997. 
Ms Rosie Winterton: The proportion of the national health service work force represented by midwives since 1997 is shown in the following table. Between September 1997 and September 2005, the number of midwives employed in the NHS has increased by 2,423 (10.8 per cent.).
|Qualified midwifery staff in England as a proportion of the total NHS work force as at 30 September each specified year|
The Information Centre for health and social care non-medical work force census
In 2005 there were 43,625 individuals living in England diagnosed with HIV infection and who accessed HIV-related care or treatment. Of this number, 9,868 have had an AIDS defining illness between their date of first HIV diagnoses and 2005.
Mr. Lansley: To ask the Secretary of State for Health when she expects the National Centre for Health Outcomes Development to report to her Department on the results of their research on emergency readmissions. 
Mr. Lansley: To ask the Secretary of State for Health on how many occasions since October 2004 matrons have exercised their authority to withhold payment for cleaning services by the process set out in the Matron's Charter. 
Lynne Featherstone: To ask the Secretary of State for Health what the contribution was from the budget of each participating primary care trust to the London-wide NHS Reserve in each year since 2002. 
Mr. Ivan Lewis: The following table shows primary care trust (PCT) top-slice forecast outturn to London strategic health authority at quarter three, 2006-07. From 2006-07 we have abolished planned support and given strategic health authorities the ability to generate reserves from top slicing their PCT allocations. This topslicing did not occur previous to 2006-07.
|Q3 2006-07 PCT forecast outturn topslice|
Financial monitoring returns quarter 3 2006-07
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